Complicaciones de la herniorrafia inguinal. Estudio realizado en el área de hospitalización de los pacientes intervenidos en el Hospital Dr. Abel Gilbert Pontón en el año 2016
Fecha
2017
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
La herniorrafia es la técnica quirúrgica más comúnmente realizada por el cirujano general. Desde la década de los 80, existe un auge por la cirugía ambulatoria en esta patología. Objetivo: evaluar la incidencia de complicaciones postoperatorias y posibles asociaciones con edad, sexo, estado nutricional, comorbilidades. Material y método: serie de casos retrospectivos de 196 pacientes operados de hernia inguinal, entre enero 2016 a diciembre 2016. Se excluyeron los pacientes con ASA III y IV y los pacientes que no formaban parte de los criterios de inclusión. El análisis estadístico fue realizado mediante la prueba de chi cuadrado. Resultados: El promedio de edad fue de 54 años, con un rango entre 18 y 90 años, el predominio de los pacientes estudiados fue masculino con un 87,25%. Complicaciones postoperatorias el 14,79% de los casos, la más frecuente fue el seroma con una frecuencia de 4,59%, y la más grave fue un caso de orquitis isquémica, el mismo que termino en una orquiectomia. Conclusiones: La herniorrafia inguinal, en el hospital Dr. Abel Gilbert Pontón, presento una serie de 14,79% de complicaciones, muy cercana a las mejores series internacionales y nacionales.
Herniorrhaphy is the surgical technique most commonly performed by the general surgeon. Since the 1980s, there has been a surge in ambulatory surgery in this pathology. Objective: to evaluate the incidence of postoperative complications and possible associations with age, sex, nutritional status, comorbidities. Material and method: a retrospective case series of 196 patients operated on inguinal hernia between January 2016 and December 2016. Patients with ASA III and IV and patients not included in the inclusion criteria were excluded. Statistical analysis was performed using the chi-square test. Results: The mean age was 54 years, with a range between 18 and 90 years, the predominance of patients studied was male with 87.25%. Postoperative complications in 14.79% of the cases, the most frequent being the seroma with a frequency of 4.59%, and the most severe was a case of ischemic orchitis, the same that ended in an orchiectomy. Conclusions: Inguinal herniorrhaphy, in the Dr. Abel Gilbert Pontón hospital, presented a series of 14.79% of complications, very close to the best international and national series
Herniorrhaphy is the surgical technique most commonly performed by the general surgeon. Since the 1980s, there has been a surge in ambulatory surgery in this pathology. Objective: to evaluate the incidence of postoperative complications and possible associations with age, sex, nutritional status, comorbidities. Material and method: a retrospective case series of 196 patients operated on inguinal hernia between January 2016 and December 2016. Patients with ASA III and IV and patients not included in the inclusion criteria were excluded. Statistical analysis was performed using the chi-square test. Results: The mean age was 54 years, with a range between 18 and 90 years, the predominance of patients studied was male with 87.25%. Postoperative complications in 14.79% of the cases, the most frequent being the seroma with a frequency of 4.59%, and the most severe was a case of ischemic orchitis, the same that ended in an orchiectomy. Conclusions: Inguinal herniorrhaphy, in the Dr. Abel Gilbert Pontón hospital, presented a series of 14.79% of complications, very close to the best international and national series
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Herniorrafia inguinal, Hospital de Especialidades Guayaquil Dr. Abel Gilbert Pontón, Cantón Guayaquil, Ecuador, Complicaciones